Independent Living Center, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INDEPENDENT LIVING CENTER, INC

Practice address

265 E Pioneer Ave
Suite 201
Homer, AK 99603-7533

Phone

(907) 235-7911

Fax

(907) 235-6236

NPI assigned

Oct 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joyanna Geisler

Title

Executive Director

Phone

(907) 235-7911

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1811447774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2474",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996032474",
            "telephone_number": "907-235-7911",
            "fax_number": "907-235-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E PIONEER AVE",
            "address_2": "SUITE 201",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037533",
            "telephone_number": "907-235-7911",
            "fax_number": "907-235-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "GEISLER",
        "authorized_official_first_name": "JOYANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-235-7911"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Homer, AK
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.